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Organization
ASSCOIATION OF AFFIRMATIVE LGBTQ MARRIAGE AND FAMILY THERAPY
Active
Organization
ASSCOIATION OF AFFIRMATIVE LGBTQ MARRIAGE AND FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CHURCHILL (CEO)
(626) 367-1170
Entity
Organization
Contact information
Practice address
2510 N WHITEWATER CLUB DR UNIT B, PALM SPRINGS, CA 92262-2660
(626) 367-1170
Mailing address
2510 N WHITEWATER CLUB DR UNIT B, PALM SPRINGS, CA 92262-2660
(626) 367-1170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
08/08/2023
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